Details

Autor(en) / Beteiligte

• Ferrero, S.
• Biscaldi, E.
• Morotti, M.
• Venturini, P. L.
• Remorgida, V.
• Rollandi, G. A.
• Valenzano Menada, M.

Titel

Multidetector computerized tomography enteroclysis vs. rectal water contrast transvaginal ultrasonography in determining the presence and extent of bowel endometriosis

Ist Teil von

• Ultrasound in obstetrics & gynecology, 2011-05, Vol.37 (5), p.603-613

Ort / Verlag

Chichester, UK: John Wiley & Sons, Ltd

Erscheinungsjahr

2011

Quelle

MEDLINE

Beschreibungen/Notizen

• Objectives To compare the accuracy of multidetector computerized tomography enteroclysis (MDCT‐e) and rectal water contrast transvaginal ultrasonography (RWC‐TVS) in determining the presence and extent of bowel endometriosis. Methods This prospective study included 96 patients of reproductive age with suspicion of bowel endometriosis. Patients underwent MDCT‐e and RWC‐TVS before operative laparoscopy. Findings of MDCT‐e and RWC‐TVS were compared with histological results. The severity of pain experienced during MDCT‐e and RWC‐TVS was measured by a 10‐cm visual analog scale. Results Fifty‐one patients had bowel endometriotic nodules at surgery. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy for the diagnosis of rectosigmoid endometriosis were 95.8% (46/48), 100.0% (48/48), 100.0% (46/46), 96.0% (48/50) and 97.9% (94/96) for MDCT‐e and 93.8% (45/48), 97.9% (47/48), 97.8% (45/46), 94.0% (47/50) and 95.8% (92/96) for RWC‐TVS. MDCT‐e was associated with more intense pain than was RWC‐TVS. Conclusions MDCT‐e and RWC‐TVS have similar accuracy in the diagnosis of rectosigmoid endometriosis, but patients tolerate RWC‐TVS better than they do MDCT‐e. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.